Anthony Eclavea, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kapolei, Hawaii. His current practice location is
91-1051 Franklin D Roosevelt Ave, Kapolei, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(800) 214-1306.
Anthony Eclavea is licensed to practice in Hawaii (license number MD-9882) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447319702.
Physician's Profile
| Full Name | Anthony Eclavea |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 91-1051 Franklin D Roosevelt Ave, Kapolei, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447319702
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 12/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951400423
- Enrollment ID: I20070625000204
Medical Identifiers
Medical identifiers for Anthony Eclavea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447319702 | NPI | - | NPPES |
| 34785300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0204X | Radiology - Vascular & Interventional Radiology | 50367 (Wisconsin) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 50361 (Georgia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD-9882 (Hawaii) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01051628A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD-9882 (Hawaii) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anthony Eclavea allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | Radiology Associates of Appleton SC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841229093
PECOS PAC ID: 6002851862
Enrollment ID: O20050622000606 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Eclavea is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anthony Eclavea, MD
91-1051 Franklin D Roosevelt Ave,
Kapolei, HI 96707-2185
Ph: (800) 214-1306 | Anthony Eclavea, MD
91-1051 Franklin D Roosevelt Ave,
Kapolei, HI 96707-2185
Ph: (800) 214-1306 |
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